Diabetic foot

Case contributed by Dr Ahmed Abd Rabou

Presentation

Foot swelling, reddness and hypothesia of long duration. The patient had long history of Diabetes Mellitus

Patient Data

Age: 50 years old
Gender: Female
Modality: MRI

There is destruction of the middle and lateral cuniform bones as well as subluxation and disorganization of talonavicular, naviculo-cuniform, cuboido-cuniform and intercuniform joints with associated soft tissue and bone marrow edema. The 2nd to 5th metatarsophalangeal joints show variable degrees of subluxation/dislocation as well.

Diagnosis: Neuropathic joint (charcot joint) due to Diabetes mellitus

Case Discussion

Diabetes mellitus can affect the foot by two mechanisms, first one is osteomyelitis and suppurative inflammation and bone destruction which mainly affects the pressure points in forefoot (metatarsal and phalangeal heads) and hindfoot (posterior calcaneus). The 2nd one is neuropathic joint which affects the intertarsal joints leads to joint disorganization, dislocation and destruction.

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Case Information

rID: 24598
Case created: 30th Aug 2013
Last edited: 29th Feb 2016
Inclusion in quiz mode: Included

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